OBJECTS Optic nerve sheath diameter has been linked with intracranial pressure in previous studies. Measurement of sheath diameter using transorbital ultrasound is proposed as a clinical assessment indicator of developing hydrocephalus in the paediatric population. METHODS A retrospective review of optic nerve sheath ultrasound examinations performed in a… (More)
OBJECT The presence of raised intracranial pressure (ICP) in untreated nonsyndromic, isolated sagittal craniosynostosis (SC) is an important functional indication for surgery. METHODS A retrospective review was performed of all 284 patients presenting with SC to the Oxford Craniofacial Unit between 1995 and 2010. RESULTS Intraparenchymal ICP monitoring… (More)
OBJECTIVE To determine whether estimates of regional cerebral blood flow (rCBF) using xenon computed tomography (XeCT) in children with moyamoya disease can predict stroke risk before and after treatment. METHOD Seven patients with moyamoya disease underwent 22 serial Xe computed tomographic scans. Estimates of rCBF were obtained at three computed… (More)
INTRODUCTION Superior mesenteric artery or Wilkie's syndrome is defined as compression of the third part of duodenum by superior mesenteric artery. It has not been previously reported in children after neurosurgical procedures. CLINICAL HISTORY We present the case of a child who had persistent vomiting after surgery for posterior fossa astrocytoma… (More)
This case report describes an intraoperative hypotensive event associated temporally with application of topical Adcon -L gel during lumbar surgery. Documented serum cardiac and immunological markers suggest a non-anaphylactoid aetiology. The aetiology of this phenomenon is discussed with reference to available literature.